Laserfiche WebLink
ONSITE WAS ,WATER TREATMENT SYST A PERMIT <br /> 3"'Fi -S-rwwl ON CA 95202 - (209)468-3420, <br /> SAN JOAQ I 4N COUNT. RON M F N-I Al,I I F,�ri ii DV.I'AR'I'rIENT 304 E %N En E R A <br /> NON-REFUNDABLE PERMIT C I'll 209)953-7697 FOR INSPECTIONS EXPIRES I YEAR FRom DATE ISSUED <br /> Ci,ry/Zip L r-, <br /> JOB ADDRESS --i <br /> CROSS STREET Lke 1�,Q APIS PARCEL SIZE <br /> OWNLR NAME --'Rzkv�A— <br /> OWNER ADDRESS 14 a 4 C iTN'/STATE/ZI P 4=,a, -r,9 <br /> CONTRACTOR PHONE <br /> CONTRACTOR ADDRESS CITY/STA-1 FJZIP_ <br /> LICENSE El C-42 L3 C-36 0'ILj ILR NUMBER EXPIRATION DATE <br /> WATER TABLE DF.Pi-ti: it GEOGRAPHICAL INFORMATION: Coordinates x y <br /> Q PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> TVPF OF WORK: j NEW INSTALLATION 0 REPAIRIADDITIO El E NEER DESI DIALTERNATIVE <br /> LJ REPLACEMENT DESTRUCTION <br /> INS�IALLATION WILL SERVE: Lj RESIDENCE Lj COMMERCIAL ❑ OTHIER <br /> NUMBER OF LIVING UNITS: N(1MBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> VSEPTICTANK Tyi,[,./MFG C,;-),1G, CAPACITY gal 9 OF COMPARTMENTS <br /> Q GREASE TRAP Tyi,[:/MFG CAPACITY gal #OF COMPAR-rmENTS <br /> El PKC TX PLANT DISTANCETo NEAREST: WELL ft FOUNDATION ft PROPERTY LINE fl <br /> LI LIFT STATION SIzE_ TYPE OFPU.A%P ED SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> Ll LEACH LINES El LEACHING CHAMBERS 4 OF LINES LENGTH OF LINES ft <br /> DISTANCE-ro NEAREST WELL II FOUNDATION fi PROPERTY LINE ft <br /> - i- <br /> f 17 .1 4 <br /> ft LENGTH f,=I Z,�*, " ft <br /> FILTER RED WIDTH 9� �it- - 5.0 <br /> DISTANCETo NEAREST WELL Z ft FOUNDATION PROPERTY LINE <br /> Ll MOUNDED WIDTH —11 LENGTH ft DEPTH <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> U Sumps WIDTH ft LENGTH ii DEPTH ft <br /> DISTANCE To NEAREST WELL_ R FOUNDATION ft PROPERTY LINE ft <br /> LJ DISPOSAL PONDS WIDTH it LENGTH ft DEpiii ft <br /> DISTANCE To NEAREST WELL tI FOUNDATION PROPERTY LINE ft <br /> Ll Sl-"I--li'A(.I,' PITS Numitt..R W11)I D <br /> DISFANCE'ro NEAREST' WIMLL h lotINDAIWN 11 PROPFRIY11m: --.—I't <br /> Q, <br /> HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDINANCES,STATE LA 'S AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> L)R N( TICS:REQUIRED FOR INSPEC"I IONS-PLE%SE('ALI,(20())953-7697 <br /> SIGNED <br /> TITLE DATE <br /> -TT I I <br /> m <br /> So <br /> 7 <br /> o-'E <br /> V <br /> L <br /> z-1.0 g;kt a 8 <br /> —+ <br /> E <br /> .O,_ Q'a <br /> E'6 !a5-E <br /> 00 <br /> a 5 <br /> 4� <br /> .Irv, <br /> X <br /> o <br /> '-, <br /> -6- <br /> lo <br /> 4444 1 <br /> 1 <br />